Evidence map›Paper›PMID 35241226›Full record

ReviewJournal of the American College of Cardiology2022

Anticoagulation in Patients With COVID-19: JACC Review Topic of the Week.

Michael E Farkouh, Gregg W Stone, Anuradha Lala, Emilia Bagiella, Pedro R Moreno, Girish N Nadkarni, Ori Ben-Yehuda, Juan F Granada, Ovidiu Dressler, Elizabeth O Tinuoye and 6 more

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Journal of the American College of Cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04512079 (FREEDOM COVID Anticoagulation Strategy Randomized Trial), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
11.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04512079 phase4completednot on this map

FREEDOM COVID Anticoagulation Strategy Randomized Trial

TypeinterventionalSponsorValentin FusterRan2020 to 2022Enrolled3,460ConditionsCOVID-19, SARS-CoV-2ArmsEnoxaparin, Apixaban
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Pathogenic mechanisms of cardiovascular damage in COVID-19.Molecular medicine (Cambridge, Mass.) · 2024
    Review
  8. COVID-19 therapeutics.Clinical microbiology reviews · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Serum from COVID-19 patients promotes endothelial cell dysfunction through protease-activated receptor 2.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2024
    Article
  13. Article
  14. Article
  15. Review
  16. Closer to FREEDOM From Uncertainty.Journal of the American College of Cardiology · 2023
    Article
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 6 institutions in 3 countries.

Michael E FarkouhPeter Munk Cardiac Centre, University of Toronto, Toronto, Ontario, Canada; The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Gregg W StoneThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA; The Cardiovascular Research Foundation, New York, New York, USA.
Anuradha LalaThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA; Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Emilia BagiellaDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Pedro R MorenoThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Girish N NadkarniThe Hasso Plattner Institute for Digital Health at Mount Sinai, New York, New York, USA.
Ori Ben-YehudaThe Cardiovascular Research Foundation, New York, New York, USA; Columbia University Medical Center, New York, New York, USA.
Juan F GranadaThe Cardiovascular Research Foundation, New York, New York, USA; Columbia University Medical Center, New York, New York, USA.
Ovidiu DresslerThe Cardiovascular Research Foundation, New York, New York, USA.
Elizabeth O TinuoyeThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Carlos GranadaCogent Technologies Corporation, Mahwah, New Jersey, USA.
Jessica BustamanteThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Carlos PeyraThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Lucas C GodoyPeter Munk Cardiac Centre, University of Toronto, Toronto, Ontario, Canada.
Igor F PalaciosMassachusetts General Hospital, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA.
Valentin FusterThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA; Centro Nacional de Investigaciones Cardiovasculares, Madrid, Spain. Electronic address: valentin.fuster@mountsinai.org.
Icahn School of Medicine at Mount Sinai · USCardiovascular Research Foundation · USUniversity of Toronto · CACardiovascular Institute of the South · USHarvard University · USPixelligent (United States) · US

Funding

COVID and Translational Science supercomputer (CATS)S10OD030463 · OD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KOVATCH, PATRICIA · 2021 to 2021
$2.0M
Big Omics Data Engine 2 SupercomputerS10OD026880 · OD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KOVATCH, PATRICIA · 2019 to 2019
$2.0M
CIHRNIH HHS S10 OD026880NIH HHS S10 OD030463
6 · The paper itself

Abstract

Clinical, laboratory, and autopsy findings support an association between coronavirus disease-2019 (COVID-19) and thromboembolic disease. Acute COVID-19 infection is characterized by mononuclear cell reactivity and pan-endothelialitis, contributing to a high incidence of thrombosis in large and small blood vessels, both arterial and venous. Observational studies and randomized trials have investigated whether full-dose anticoagulation may improve outcomes compared with prophylactic dose heparin. Although no benefit for therapeutic heparin has been found in patients who are critically ill hospitalized with COVID-19, some studies support a possible role for therapeutic anticoagulation in patients not yet requiring intensive care unit support. We summarize the pathology, rationale, and current evidence for use of anticoagulation in patients with COVID-19 and describe the main design elements of the ongoing FREEDOM COVID-19 Anticoagulation trial, in which 3,600 hospitalized patients with COVID-19 not requiring intensive care unit level of care are being randomized to prophylactic-dose enoxaparin vs therapeutic-dose enoxaparin vs therapeutic-dose apixaban. (FREEDOM COVID-19 Anticoagulation Strategy [FREEDOM COVID]; NCT04512079).

Indexed as

AnticoagulantsCOVID-19Critical CareEnoxaparinHospitalizationHumansPyrazolesPyridonesThromboembolismThrombosisAnticoagulantsapixabanEnoxaparinPyrazolesPyridonesanticoagulationclinical trialcoagulopathyCOVID-19

Identifiers

PMID35241226
PMCPMC8884342
OpenAlexW4214561676

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.